Part of 3. 2. Questions to the Cabinet Secretary for Health, Well-being and Sport – in the Senedd at 3:35 pm on 1 March 2017.
I recently visited Moriston Hospital to have a presentation, on a range of different topics, actually, but during the visit, I took the opportunity to go into the emergency department. And it was really interesting to see, at that time, that I think they recognise that some of their own internal workings of the system has improved, but also they now think they have a better relationship both outside the front door, with the development of primary care clusters, but importantly as well within the hospital system. You’ll know from your own time within the health system, both in this place and outside it, that there is a feeling in some emergency departments that they’re not properly connected to the rest of the hospital, as if those problems at the front door remain at the front door. And, actually, there’s been a greater level of understanding that it is a whole-hospital system and they need to see that as their problem as well, and with linkage into those other specialities within the hospital to take people out of the emergency department and back into the hospital where their appropriate care and treatment will be needed.
And it’s also about the improvements in delayed transfers of care as well. In particular, in the Swansea local authority, there have been some real challenges about some of the care places that are available outside of the hospitals, but we’ve seen some improvement. So, I’m encouraged by the fact that there has been that acknowledgement of the challenge, and that it isn’t just a secondary care challenge—it is a whole-health service challenge, but also, a health and care challenge as well. And, of course, you’ll be aware that, following the £50 million investment we’ve provided, the health board’s share of that is over £9 million. So, there is real support in terms of money, as well as expertise, and some of the sharing, in fact, which is taking place between different health boards about successful systems and processes they have themselves. So, there’s a range of different actions. I expect to see that improvement, and I look forward to having a continued conversation with yourself and other Members to see where that really is going to take place.